Methods and Systems that Manage Spending on Implantable Health Care Devices

Abstract

A method for the management of data for health care devices used in medical procedures includes: storing vendor profiles, including a vendor identifier, procedure types and associated procedure codes, and part identifiers and associated contract prices; receiving a billing code request, the request including a specific vendor identifier and procedure type; identifying a specific vendor profile that includes the specific vendor identifier; transmitting the procedure codes associated with the specific procedure type in the specific vendor profile; receiving a billing submission, the submission including a specific procedure code, procedure data, and specific part identifiers and associated billing prices; and determining compliance of billing prices based on a comparison, for each specific part identifier, the respective billing price to the associated contract price included in the identified specific vendor profile.

What is claimed is: 
     
         1 . A method for the management of data for health care devices used in medical procedures, comprising:
 storing, in a profile database of a processing server, a plurality of vendor profiles, wherein each vendor profile includes data related to a health care device vendor including at least a vendor identifier, code data, and pricing data where the code data includes a plurality of procedure types and, for each procedure type, at least one associated procedure code, and where the pricing data includes a plurality of part identifiers and, for each part identifier, an associated contract price;   receiving, by a receiving device of the processing server, a data signal from a computing device comprising a billing code request, wherein the billing code request includes at least a specific vendor identifier and a specific procedure type;   executing, by a querying module of the processing server, a query on the profile database to identify a specific vendor profile where the included vendor identifier corresponds to the specific vendor identifier;   electronically transmitting, by a transmitting device of the processing server, a data signal to the computing device comprising the at least one procedure code associated with the specific procedure type included in the code data included in the identified specific vendor profile;   receiving, by the receiving device of the processing server, a data signal from the computing device comprising a billing submission, wherein the billing submission includes data related to a medical procedure including at least a specific procedure code, procedure data, and one or more health care device data entries, where each health care device data entry includes at least a specific part identifier, a lot identifier, and a billing price; and   determining, by a determination module of the processing server, compliance of billing prices to contract prices based on a comparison, for each health care device data entry included in the billing submission, the respective billing price to the contract price associated with the respective specific part identifier of the plurality of part identifier included in the identified specific vendor profile.   
     
     
         2 . The method of  claim 1 , further comprising:
 storing, in a billing database of the processing server, a billing data entry, wherein the billing data entry includes data related to the billing submission including at least the specific procedure code, procedure data, and one or more health care device data entries, and further including, for each health care device data entry determined to be non-compliant, an indication of non-compliance.   
     
     
         3 . The method of  claim 1 , further comprising:
 electronically transmitting, by the transmitting device of the processing server, a data signal comprising an indication of non-compliance for each health care device data entry determined to be non-compliant.   
     
     
         4 . The method of  claim 3 , wherein the data signal comprising the indication of non-compliance is electronically transmitted to the computing device. 
     
     
         5 . The method of  claim 3 , wherein
 each vendor profile further includes at least one notification e-mail address, and   the data signal comprising the indication of non-compliance is electronically transmitted to the at least one notification e-mail address included in the identified specific vendor profile.   
     
     
         6 . The method of  claim 1 , further comprising:
 electronically transmitting, by the transmitting device of the processing server, a data signal to a display device comprising at least the specific procedure code, procedure data, and one or more health care device data entries, and further including, for each health care device data entry determined to be non-compliant, an indication of non-compliance, wherein the display device is configured to parse the data signal for display of data comprised therein.   
     
     
         7 . The method of  claim 1 , wherein
 the code data in each vendor profile further includes a plurality of primary procedure types, and   each procedure type of the plurality of procedure types is associated with a primary procedure type of the plurality of primary procedure types.   
     
     
         8 . The method of  claim 7 , further comprising:
 receiving, by the receiving device of the processing server, a data signal from a computing device comprising a secondary type request, wherein the secondary type request includes at least a specific primary procedure type; and   electronically transmitting, by the transmitting device of the processing server, a data signal to the computing device comprising each procedure type of the plurality of procedure types included in the identified specific vendor profile associated with the specific primary procedure type, wherein   the specific procedure type is one of the procedure types of the plurality of procedure types associated with the specific primary procedure type included in the identified specific vendor profile.   
     
     
         9 . The method of  claim 1 , wherein the procedure data includes at least one of: hospital name, hospital identifier, physician name, physician identifier, procedure time, procedure date, hospital data, physician data, and patient data. 
     
     
         10 . The method of  claim 1 , further comprising:
 storing, in a notification database of the processing server, a plurality of notification rules, wherein each notification rule includes at least a data value and a notification e-mail address;   executing, by the querying module of the processing server, a query on the notification database to identify at least one notification rule where the included data value corresponds to one of: the specific vendor identifier, the specific procedure code, the specific procedure type, the procedure data, a specific part identifier for one of the at least one health care data entry, a lot identifier for one of the at least one health care data entry, and a billing total based on a summation of the billing price for each of the at least one health care data entry; and   electronically transmitting, by the transmitting device of the processing server, a data signal for each identified notification rule to the notification e-mail address include in the respective notification rule.   
     
     
         11 . A system for the management of data for health care devices used in medical procedures, comprising:
 a determination module of a processing server;   a profile database of the processing server configured to store a plurality of vendor profiles, wherein each vendor profile includes data related to a health care device vendor including at least a vendor identifier, code data, and pricing data where the code data includes a plurality of procedure types and, for each procedure type, at least one associated procedure code, and where the pricing data includes a plurality of part identifiers and, for each part identifier, an associated contract price;   a receiving device of the processing server configured to receive a data signal from a computing device comprising a billing code request, wherein the billing code request includes at least a specific vendor identifier and a specific procedure type;   a querying module of the processing server configured to execute a query on the profile database to identify a specific vendor profile where the included vendor identifier corresponds to the specific vendor identifier; and   a transmitting device of the processing server configured to electronically transmit a data signal to the computing device comprising the at least one procedure code associated with the specific procedure type included in the code data included in the identified specific vendor profile, wherein   the receiving device of the processing server is further configured to receive a data signal from the computing device comprising a billing submission, wherein the billing submission includes data related to a medical procedure including at least a specific procedure code, procedure data, and one or more health care device data entries, where each health care device data entry includes at least a specific part identifier, a lot identifier, and a billing price, and   the determination module of the processing server is configured to compliance of billing prices to contract prices based on a comparison, for each health care device data entry included in the billing submission, the respective billing price to the contract price associated with the respective specific part identifier of the plurality of part identifier included in the identified specific vendor profile.   
     
     
         12 . The system of  claim 11 , further comprising:
 a billing database of the processing server configured to store a billing data entry, wherein the billing data entry includes data related to the billing submission including at least the specific procedure code, procedure data, and one or more health care device data entries, and further including, for each health care device data entry determined to be non-compliant, an indication of non-compliance.   
     
     
         13 . The system of  claim 11 , wherein the transmitting device of the processing server is further configured to electronically transmit a data signal comprising an indication of non-compliance for each health care device data entry determined to be non-compliant. 
     
     
         14 . The system of  claim 13 , wherein the data signal comprising the indication of non-compliance is electronically transmitted to the computing device. 
     
     
         15 . The system of  claim 13 , wherein
 each vendor profile further includes at least one notification e-mail address, and   the data signal comprising the indication of non-compliance is electronically transmitted to the at least one notification e-mail address included in the identified specific vendor profile.   
     
     
         16 . The system of  claim 11 , wherein the transmitting device of the processing server is further configured to electronically transmit a data signal to a display device comprising at least the specific procedure code, procedure data, and one or more health care device data entries, and further including, for each health care device data entry determined to be non-compliant, an indication of non-compliance, wherein the display device is configured to parse the data signal for display of data comprised therein. 
     
     
         17 . The system of  claim 11 , wherein
 the code data in each vendor profile further includes a plurality of primary procedure types, and   each procedure type of the plurality of procedure types is associated with a primary procedure type of the plurality of primary procedure types.   
     
     
         18 . The system of  claim 17 , wherein
 the receiving device of the processing server is further configured to receive a data signal from a computing device comprising a secondary type request, wherein the secondary type request includes at least a specific primary procedure type,   the transmitting device of the processing server is further configured to electronically transmit a data signal to the computing device comprising each procedure type of the plurality of procedure types included in the identified specific vendor profile associated with the specific primary procedure type, and   the specific procedure type is one of the procedure types of the plurality of procedure types associated with the specific primary procedure type included in the identified specific vendor profile.   
     
     
         19 . The system of  claim 11 , wherein the procedure data includes at least one of: hospital name, hospital identifier, physician name, physician identifier, procedure time, procedure date, hospital data, physician data, and patient data. 
     
     
         20 . The system of  claim 11 , further comprising:
 a notification database of the processing server configured to store a plurality of notification rules, wherein each notification rule includes at least a data value and a notification e-mail address, wherein   the querying module of the processing server is further configured to execute a query on the notification database to identify at least one notification rule where the included data value corresponds to one of: the specific vendor identifier, the specific procedure code, the specific procedure type, the procedure data, a specific part identifier for one of the at least one health care data entry, a lot identifier for one of the at least one health care data entry, and a billing total based on a summation of the billing price for each of the at least one health care data entry, and   the transmitting device of the processing server is further configured to electronically transmit a data signal for each identified notification rule to the notification e-mail address include in the respective notification rule.